Healthcare Provider Details

I. General information

NPI: 1972676187
Provider Name (Legal Business Name): RAMIAH REHABILITATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E GRANADA BLVD SUITE #1
ORMOND BEACH FL
32176-6680
US

IV. Provider business mailing address

115 E GRANADA BLVD SUITE #1
ORMOND BEACH FL
32176-6680
US

V. Phone/Fax

Practice location:
  • Phone: 386-672-8547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: GINA MASBAD
Title or Position: PRESIDENT
Credential:
Phone: 386-672-8547